Clinical Observation Of Zhuyu Tongli Decoction Combined With Biofeedback In The Treatment Of Pelvic Floor Achalasia Constipation With Qi Stagnation And Blood Stasis

Purpose:To observe and evaluate the clinical effects of Zhuyu Tongli Decoction combined with biofeedback in the application of Qi stagnation and blood stasis pelvic floor achalasia constipation,and explore the effectiveness and advantages of Zhuyu Tongli Decoction combined with biofeedback to improve pelvic floor achalasia constipation,so as to provide reference for its application in outlet obstruction type constipation.Material and method:From January 2019 to December 2019,60 study subjects who were admitted to the hospital from the Third Affiliated Hospital of Liaoning University of Traditional Chinese Medicine and met the inclusion criteria were selected.Sixty patients were randomly divided into two groups,30 cases in each group,which were set as the observation group and the control group.The two groups of patients were instructed to be emotional,reasonable diet,and moderate exercise.The observation group was given oral Zhuyu Tongli Decoction combined with biofeedback treatment,and the traditional Chinese medicine decoction was divided into three meals and taken warmly after meals,with 10 days as a course of treatment,biofeedback Treatment once a day,about 30 minutes each time,10 times as a course of treatment,a total of 2 courses.The control group was treated with biofeedback,and the treatment was the same as the observation group.The two groups of patients were compared before and after treatment with constipation and TCM syndrome scores,anorectal pressure measurement,anxiety self-rating scale(SAS),depression self-rating scale(SDS),and analyzed and evaluated them.Results:1.Constipation symptom score:The scores of the two groups of patients after treatment were lower than those before treatment(P<0.05),both groups had treatment effects,and the observation group was better than the control(P<0.05).2.TCM syndrome scores:After treatment,the score of the observation group was lower than that before treatment(P<0.01),and the treatment effect was significant.The scores of the control group such as chest distension,mood swings,tongue and pulse condition were not different from before treatment(P>0.05),and the treatment effect was not good;The overall curative effect of the observation group was significantly better than that of the control group(P<0.01).3.SAS?SDS:After treatment,the SAS and SDS of the two groups of patients were lower than before treatment(P<0.05).Both groups had the treatment effect,and the observation group was better than the control group(P<0.05).4.Anorectal pressure measurement: After treatment,both groups were significantly improved compared to before treatment(P<0.01),both groups had therapeutic effects,and the observation group had better efficacy than the control group(P<0.05).5.Efficacy: the observation group had an effective rate of 86.67%,and the control group had an effective rate of 76.67%,which was statistically significant(P<0.05);after 1 month of follow-up,the observation group had an effective rate of 83.33% and the control group had an effective rate of 70.00%.The effect was better than the control group(P<0.05).Conclusion:Zhuyu Tongli Decoction combined with biofeedback treatment can effectively relieve the symptoms of Qi stagnation and blood stasis type pelvic floor achalasia type constipation,reduce the pressure of the anal canal,regulate the uncoordinated movement of the pelvic floor muscles,improve anxiety and depression,and have no adverse reactions.It is worthy of clinical reference.